Submit New Application

No Social Security Number Affidavit Application

If you do not have an assigned Social Security number, please upload two forms of US government-issued identification.

One form of a US Government-issued ID must be non-expired, photo-bearing, and signed.
The second form needs to be a US Government-issued form of ID.
The FIRST and LAST names on both IDs must exactly match.

Once you have uploaded the required documentation and submitted this application, D&SDT-HEADMASTER will review your documentation. If your documentation is the required two forms of US Government-issued identification, we can assign you a unique identification number for testing purposes.

Legal First Name

Middle

Legal Last Name

Suffix

Birthdate

Email

Phone

Gender

Male Female Other

Address

City

State

Zipcode

Two forms of US Government-issued Identification

US Government-issued Identification Please upload two forms of US government-issued identification: • one form of a US Government-issued ID must be non-expired, photo-bearing, and signed • the second form needs to be a US Government-issued form of ID • the FIRST and LAST names on both IDs must exactly match!

Affidavit

I have uploaded the required two forms of US Government-issued identification.

By Submitting

I hereby verify that I understand and agree with the statements contained herein and the above information is true and correct.